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December 2009
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Introduction
Contents We are operating our businesses in a world marked by constant change. If
you are prepared, these economic, competitive, and technological changes
2 Introduction can lead to great opportunity. However, if your business does not have the
4 Case study 1: Hendricks agility to anticipate and adapt to change, you will not be able to adequately
Regional Health serve your customers and grow. Smart executives understand that their
9 Case study 2: State of Missouri companies need an IT infrastructure designed to reflect the realities of
Office of Homeland Security today’s business climate. In order to optimize business processes, control costs
12 Case study 3: Bharti Airtel and deliver better service, business and IT need to find ways to work smarter.
16 Case study 4: Implanet
For many businesses, working smarter is a journey that begins by taking the
time to evaluate business drivers and understand how they define your core
business products and services. What has made you successful in the past,
and how will your business need to evolve in the future? How can you rede-
fine the way people — both internal and external to your business — are able to
work together to foster a collaborative environment and improve quality and
productivity?
As you seek answers to these questions, you may recognize that the dynamics
of your business have changed — but your IT infrastructure has not. What can
be done to eliminate some of the organizational silos and brittle IT infra-
structure that may be holding you back from optimizing business results in an
environment of constant change? By thinking and working smarter, you can
build IT infrastructure and services that can provide a secure, governed and
repeatable approach to anticipating and serving the needs of the business.
Using technology to work smarter
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While there are many different approaches to connecting people and processes
Highlights
in new ways, similarities can be found across many different types of business.
Typically, businesses that follow a smart work approach understand that they
need an agile, connected and collaborative business environment to empower
people and embrace change. These businesses focus on the interconnected
parts of an enterprise and look to see how the organization can consistently
deliver value as a cohesive unit. This means understanding how organizations
can model, streamline and then repeat the processes that rely on both people
To take advantage of the and technology.
opportunities present in today’s
volatile environment, business This path to working smarter is characterized by:
and IT must work hand in hand,
• Using technology to enhance the connections between people and establish a
connecting people and processes.
collaborative environment to improve productivity and quality
• Optimizing workflows to reduce costs and ensure that work gets done by the
right person and the right team in the right sequence at the right time
• Ensuring that accurate and consistent information about business can be
accessed by all who need it, when they need it
• Integrating applications with business processes so they serve the needs of
the business
• Creating a continuous improvement in business process with the help of
analytics and metrics.
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and require major adjustments in the way people work and solve problems.
Nonetheless, there are many businesses today that have successfully innovated
new business models by automating inefficient manual processes and using
interconnected and instrumented devices to connect people and processes.
In addition, there are many businesses that have transformed their business
models by implementing service oriented architecture (SOA) to provide the
flexibility needed to meet ever-changing business challenges.
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In 2002, Hendricks adopted IBM Lotus Notes® and IBM Lotus Domino® soft-
ware for messaging and collaboration, using this platform to create specialized
forms that help to capture, store and deliver information critical to medical
care. By maintaining a consistent platform for all the different forms, the IT
department is able to reuse skills and resources to help control costs.
Recently, two sets of needs cried out for IT support: the Patient Run Form
that documents emergency runs bringing patients to the hospital, and the
on-call system that links doctors to urgent off-hours calls from people seeking
medical advice.
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The key criteria of efficiency and accuracy were not being met by the existing
Highlights
manual process, which was cumbersome and highly error prone. Critical
information about the patient was delivered by the EMTs to the hospital
emergency staff both orally and on a handwritten one-page Patient Run Form.
Some of the information EMTs wanted to capture had no corresponding field
on the form, forcing them either to leave it out or write comments into the
Manual reporting processes margins of the form. After returning to the firehouse, EMTs needed to enter
required additional steps that the data from the Patient Run Form into an electronic system that was used
often led to errors. for reporting public health and financial metrics to the state. This extra step
was inefficient and often led to errors.
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More efficient business process. The additional information that EMTs are
Highlights
able to capture on the electronic form can be used in multiple ways to improve
care provided to the patient. For example, EMTs now have a more comprehen-
sive process for tracking the patient’s vital signs over the duration of the run.
In addition, EMTs only need to enter information once — on the new electronic
Patient Run Form — and it can be used by the hospital, picked up by a second
hospital if the patient needs to be transferred, and later submitted to the state
for analysis.
Hendricks Regional Health can use The information provided by the electronic Patient Run Form system also
the information captured in the enables Hendricks Regional Health management to work smarter. Analysts
new form to evaluate and improve can pose and answer questions, such as how many heart attacks are being
current procedures. seen, how many patients are coming in with head traumas, or how many
babies are being born before the mother gets to the hospital. This analysis
allows the hospital quality management team to evaluate the efficacy of
different types of interventions and make adjustments to improve the quality
of care.
Using technology to work smarter
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For Hendricks, working smarter meant creating a new, efficient on-call com-
munication process that would streamline the operation and ensure that the
right doctor would receive the right page on time.
The new on-call scheduling appli-
cation created a truly collaborative Employing automation to improve the on-call paging process
environment where information Like the Patient Run Form system, the new on-call scheduling application
is readily available and easily
was built on Lotus Notes and Domino. Doctors’ schedules are set up in a
updated.
Domino database by the day of the week, with start and end times for on-call
availability. Each doctor’s specialties and contact information are recorded in
the same place, including a list of contact methods ranked by preference. In
addition, information about patient symptoms can quickly be entered into the
system and forwarded to the right doctor in an electronic page, along with the
call-back phone number.
Using technology to work smarter
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The State of Missouri Office of The difficulty from a statewide perspective is that these resources are not
Homeland Security needed to readily accessible to all emergency responders. This is a problem because, as
provide emergency responders was clearly demonstrated by both the 9/11 attacks and Hurricanes Katrina
statewide access to disaster and Rita, while most disasters start locally, once they become severe enough
information. they can impact a very wide area and require the involvement of emergency
responders from hundreds or even thousands of miles away.
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communicating. The platform also offers Web conferencing, chat, e-mail and
Highlights
whiteboarding, as well as an incident mapping capability. This integrated
portal solution positions the state to seamlessly add future functionality.
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To keep up with demand, while also maintaining high levels of customer ser-
Solution components:
Bharti Airtel vice, all the processes required to run the business — from order management
and service activation to those processes involved in the operation of the core
Software network— needed to run smoothly and stay synchronized. What’s more, Bharti
• IBM DB2® Airtel recognized that the lack of a single view of the customer across the
• IBM Service Provider Delivery
various lines of business can lead to missed opportunities for the business and
Environment dissatisfied customers. Everyone in the organization — from executive decision
• IBM WebSphere® Business makers to customer-facing representatives — needed to have access to the right
Integration Server information about the customer at the right time.
• IBM WebSphere MQ
In order to deliver the best possible experience to the customer, IT needed to
Services be able to provide an integrated view across all the company’s services and
• IBM Global Business Services customers. The company needed a smarter approach to creating and manag-
• IBM Global Technology Services ing customer-facing processes. Providing the business with the level of agility
• IBM Strategic Outsourcing it needed to thrive required an IT infrastructure that was flexible enough to
accommodate future demand and smart enough to provide a high level of
intelligence and analytics about its customers. The solution for Bharti Airtel
was a service-oriented approach to integrating business requirements with an
IT framework that enables business change.
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However, Bharti Airtel was facing increasing financial risk based on govern-
Highlights
ment-mandated pricing changes that led to a steady decline in India’s average
revenue per user for mobile telecom services. This meant that large capital
A large capital outlay for IT infra- expenditures to expand IT infrastructure might not be offset by revenues from
structure expansion was out of the future services.
question because of government-
mandated pricing changes for user To address the company’s future IT and business needs while substantially
services. mitigating its IT investment risk, the company established an outsourcing
relationship with IBM. This relationship gives IBM full control and ownership
of Bharti Airtel’s IT infrastructure and associated processes. By substituting
predictable operating expenses for risky upfront capital investments, this strat-
egy fundamentally transforms the financial underpinnings of the company’s
business model. An equally important aim of this strategy is to enable Bharti
Airtel to focus its energies on growing, serving and retaining its customer
Outsourcing its IT infrastructure base — and thus fully capitalize on India’s astounding growth surge.
enabled Bharti Airtel to concentrate
on its much-needed business and Focusing on improving customer experience
IT transformation. Bharti Airtel knew that the key to capitalizing on its growth opportunities was
to establish deeper and more personalized relationships with its customers, as
well as to provide a consistent, high-quality customer experience. It further
realized that, from an IT perspective, the ability to integrate its diverse
systems and processes was essential. Bharti Airtel saw the flexibility of IBM’s
integration approach and recognized the combination of IBM’s extensive
portfolio of middleware products and expertise in service oriented architec-
ture (SOA) provided an ideal match for its integration requirements.
Using technology to work smarter
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In line with its vision, Bharti Airtel’s advanced integration capabilities have
Advanced integration capabilities enabled the company to transform key aspects of the customer experience.
enable new customers to start Account activation is just one example. With Bharti Airtel signing up an
enjoying mobile service 90 percent average of 1.5 million customers per month, the ability to activate new
faster than in the past. accounts with maximum efficiency is essential. By integrating the account
activation process with such key back-end systems as billing, provisioning and
order management, Bharti Airtel was able to cut the time required to activate
new mobile accounts by 90 percent. Bharti Airtel’s integration framework
has also led to stronger business intelligence capabilities, which have in turn
enabled the company to maximize the value of its customer relationships
through cross selling and market segmentation.
Bharti Airtel’s bold strategy has also produced outstanding results at the
bottom line. Working smarter to enable process efficiency is a big factor in its
performance. The company has reduced activation time from four days to two
hours and compressed billing cycles from 15 days to 2 hours. Infrastructure
Using technology to work smarter
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The company’s manual process for tracking the implantable devices was
cumbersome and open to errors. After hospitals purchase the devices, they
are stored until needed. When a device is required for a surgical procedure,
Using technology to work smarter
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it is selected from the in-hospital supply, and information about the device
Highlights
and the patient is recorded and provided to Implanet. The company does not
bill the hospital until the device has actually been implanted in a patient. If
there was a mistake in shipping or if a hospital lost track of a device, then
Implanet would not be able to bill for it. Implanet recognized the need to
improve its inventory management and streamline its billing process. But this
was only one aspect of the challenges related to lack of control over the track-
ing of devices. For example, if a group of devices ever needed to be recalled,
Implanet was responsible for quickly reaching the patient who was implanted
with that device.
Using IBM InfoSphere™ Traceability Server and the IBM Radio Frequency
Identification (RFID) Solution for Pharmaceutical track and trace technology,
Implanet created its new BeepNTrack service that provides real-time product
tracking of devices from raw material to patient implantation. The new
solution has enabled the company to transform its business processes by lever-
aging the new intelligence made available by the automated system. Implanet
has been able to reduce costs associated with human error, out-of-stock prod-
ucts and supply chain inefficiencies while increasing the quality of its devices
Using technology to work smarter
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Each medical device now receives an RFID tag as part of the packaging pro-
cess. Key characteristics about each device (such as lot number, description
of device, expiration date) are recorded into a database system. Then the tag
is read by a scanner in order to link each individual product with a unique
RFID number. The RFID tags chosen for this solution have a short range for
reading so as not to interfere with other hospital electronics.
The RFID tags are scanned before shipping to make sure the hospital is
getting the correct order. The tracking process continues once the devices
With the new solution, Implanet
reach the hospital. Before a surgical procedure takes place, a hospital staff
has access to information that
member uses a handheld device to scan the tag from the medical device being
positively impacts all levels of its
implanted. The information about the device is stored along with the patient’s
business and the healthcare
records. The tag is given to the patient after surgery so he or she will have all
community.
available information concerning the implant in the event of future concerns.
For Implanet, working smarter has meant doing such a good job of improving
its internal business processes that the company was able to extend the
BeepNTrack solution to automate online order processing, reducing human
Using technology to work smarter
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error and optimizing resources necessary to improve the supply chain process.
Highlights
Overall, the BeepNTrack solution uses technology to add insight and intel-
ligence into the challenging process of tracing medical implantable devices
from manufacture to the patient— improving patient safety by providing an
accurate and immediately identifiable connection between implantable devices
and patients in case of a recall.
Summary
The case studies in this DeepView share some common themes around the
need to work smarter by being agile, connected and collaborative. These orga-
To take advantage of the oppor- nizations evaluated established business processes and identified opportunities
tunities present in today’s volatile to improve operational effectiveness, reduce costs and increase business agility
environment, business and IT must by creating stronger connections between people, the business processes they
work smarter to address common need to follow, and the information they need to be effective.
business goals.
Another common thread is the use of service-oriented technology as the foun-
dation for building a smart IT platform to support their new way of delivering
value to the business. With an SOA approach, these organizations have been
able to integrate silos of information and IT infrastructure to create a more
agile and connected business environment capable of adapting to continuous
change.
ibm.com/smartwork
© Copyright IBM Corporation 2009
IBM Corporation
Software Group
Route 100
Somers, NY 10589
U.S.A.
1
IBM case study: Hendricks Regional Health
automates and improves key processes with
Lotus Domino-based solutions. December, 2008.
http://www-01.ibm.com/software/success/cssdb.
nsf/CS/CCLE-7MENN7.
2
IBM case study: State of Missouri Office of
Homeland Security: Boosting disaster prepared-
ness across the state. November, 2008. http://
www-01.ibm.com/software/success/cssdb.nsf/
CS/JSTS-7L6LA2.
3
IBM case study: Bharti Airtel grows at a stunning
pace by keeping its focus on the customer. March,
2008. http://www-01.ibm.com/software/success/
cssdb.nsf/CS/JSTS-7C6M6P.
4
IBM case study: Implanet builds a business
model differentiated by technology developed
with IBM. August, 2009. http://www-304.ibm.com/
jct01003c/software/success/cssdb.nsf/CS/JHAL-
7UMFV6.
WSC14175-USEN-00